FAQ

Frequently Asked Questions

  • General Questions

    Q: Does your practice offer annual gyn visits?
    A: Yes! We offer well women gynecology and family planning services, which you can read more about here.

    Q: Do you have someone who can take my medical questions?
    A: When you call our main line, one of the options is to speak to our triage nurse, who can help with questions about medication or abnormal symptoms. In addition, another option from the main line is to reach the midwife who is on call 24/7 to address immediate concerns. Of course, in emergencies, please directly call 911.

    Q: Are midwives able to write prescriptions?
    A: Yes, our midwives are able to handle your prescription requests in conjunction with our physician.
  • OB Related Questions

    Q: If I want to transfer to your practice, what steps should I take?
    A: The first step is to fill out a new patient survey which can be found here. The next step is to send us your medical records for this pregnancy. You can submit our medical release form to your current healthcare provider which enables them to release your records to us. Put their office information in the Released FROM section. Once we receive your records, the midwives will review them within 24-48 hours and we will contact you to schedule your first appointment.

    Q: Who will attend my birth? Is it possible that it might be someone I don’t know?
    A: Our delivering midwives rotate being on-call. We do not overlap call with office days, so whoever is on call is completely available for those 24 hours. Our primary physician is also available 24/7 for the midwives in case any interventions are necessary.

    Q: What if I want interventions (i.e. epidural, please!)?
    A: Our goal is for you to have the birth you want, giving you as many options as we safely can. We will support you in the decisions you make- there is no right or wrong way to birth, we seek to provide empowered birth experiences and informed decision making- nothing more or less.

    Q: Can you be monitored in the birthing tub?
    A: Yes! We do have technology available for both intermittent and continuous monitoring as needed.

    Q: Will I be eligible for a VBAC if I have had 2 prior cesareans?
    A: We can support a vaginal birth for a patient with up to 2 prior c/s, but based on recommendations by the American Congress of Gynecology, we cannot support vaginal birth after 3 cesareans. Our VBAC success rate is about 90%.

    Q: What can you tell me about your staff?
    A: Staff profiles are available by clicking here.

    Q: What if I live far away? How far is too far?
    A: We have patients come from all over the state, even from Alabama! Every situation is different, and of course you need to take into consideration prior births, transportation to appointments, etc. but we do want good care to be widely available and will work with you to accommodate that.

    Q: Do you perform ultrasounds in your office?
    A: Yes, we offer early dating ultrasounds and anatomy scans here in our office and continue to co-manage our patients with maternal fetal specialists as needed.

    Q: Do all of the midwives assist with waterbirth?
    A: Yes. Each of our midwives can facilitate a water birth. We have purposefully established continuity of care across all providers, so that your wishes may be met by whoever you end up birthing with.

  • Insurance Related Questions

    Q: What insurance do you accept? How can I find if you are in network?
    A: We accept all major private insurance carriers (Blue Cross Blue Shield, Aetna, Cigna, Humana, UHC, etc) except Kaiser. We are unable to accept Humana HMOx and Coventry Marketplace plans, since they are closed networks. We bill all our services under Dr. Cherise James and encourage you to ensure that they are listed as in network for your plan. (You won’t find Intown Midwifery listed, we will be listed under Dr. James or Intown Womens Health Associates.) Our tax ID is 274445971. We are unable at this time to accept Medicaid, including the CMO plans Amerigroup, Peachstate, and Wellcare. We do offer self pay rates and try to be as flexible as possible with monthly payment plans, so please check with us about your self pay options.

    Q: How are pregnancy services billed?
    A: Maternity care is billed globally which means that routine prenatal care, delivery care and postpartum care are all bundled into one claim that is billed to insurance on the day of delivery. Your first visit, ultrasounds, labs, and problem visits are considered to be outside the global care and will be billed on the day of service. You should expect to pay your copay at your first visit, and on any visit where a problem is addressed, but not on routine pregnancy visits at Intown.

    Q: What happens if I change insurance mid-pregnancy or transfer to/from a different practice?
    A: If your insurance switches mid-pregnancy, a group of your prenatal visits will be submitted to your initial insurance on the day of your last visit under that coverage. The reporting categories are 4-6 visits or 7 plus. Any remaining visits, your delivery, and postpartum care would be submitted to the new insurance. A copay may be due at the first visit with new insurance.

    Q: How do I get an estimate?
    A: We encourage you to contact your insurance carrier to find out the details of your responsibility for routine delivery costs, maternity labs, hospital stay, etc. We submit one of the following procedure, or CPT codes at the time of delivery: 59400 for vaginal delivery, 59610 for VBAC, or 59510 for cesarean. Each carrier has a standard amount they pay on these codes, so getting that information from your insurance provider along with your patient responsibility will be the most accurate estimate of your costs.

    Q: What should I expect, and from whom?
    A: The following are the entities submitting claims, the services they are billing for, and a rough estimate of what insurance companies are currently paying for those services. What you will owe of these amounts depends on your plan details- unmet deductible, shared coinsurance responsibility, and other out of pocket minimums. There is typically a member services number on the back of your insurance card where you can find out the details of your plan.

    • Atlanta Medical Center             24 Hour Hospital Stay and Newborn Care        $3200-$4000
    • Intown Midwifery         Prenatal, Delivery, and Postpartum services            $2000-$2500
    • Quest Laboratories        Lab processing and resulting, routine           $600-$1000
    • Women’s Telehealth        Ultrasounds and Consults             $400-$1000

    Q: Will I meet my deductible? Where will it be due?
    A: Yes. It is likely that if you have a deductible of $5000 or less, it will be met in full over the course of your pregnancy and delivery. Your deductible will likely apply on your first visit at Intown, on prenatal labs and ultrasounds, and if there is any remaining, it will apply towards your delivery and hospital costs that are submitted on the day of delivery.

    Q: What is coinsurance?
    If you have coinsurance on your plan, that means you will split the financial responsibility with the insurance company for payments, sometimes even after the deductible has been met-- typically the split is somewhere between 90/10 and 70/30. All patient responsibility is based on what your insurance company PAYS, not what we charge.

    If you want to contact the hospital to get their estimate of costs and potential variations based on interventions, you can contact their billing department at 404.265.4171.

    If you have further questions or ever have concerns about your bill, please contact our billing manager Stephanie by email at This email address is being protected from spambots. You need JavaScript enabled to view it..

Contact

We are located at:

340 Boulevard NE, Suite 103
Atlanta, GA 30312

Phone: 404-622-9810
Fax: 404-522-8129

Mon - Thurs 8:30 am - 5:00 pm

Latest News

09 September 2016
19 August 2016
19 August 2016